- Respiratory clinical skills checklist
- Things to master for respiratory OSCE
- Sample OSCE demonstration
- Chest X-ray Quizzes
- Sample Cases for practice
- Peak flow meter and Inhaler techniques
- Common used Malay terms for doctors in Malaysia
- Further readings on management for common Respiratory diseases
Clinical skills checklis
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Things to master for OSCE EXAM
Communication Skills
1. Elicit a comprehensive occupational and social history from a patient.
2. Elicit a comprehensive past medical history from a patient.
3. Give simple instructions to a patient.
Clinical examination skills
1. Carry out a fluent and structured examination of the respiratory system in a simulated patient.
2. Recognise normal breath sounds, wheeze and crepitations using the stethoscope
3. Recognise abnormal findings on percussion and auscultation and explain the pathological processes that would produce these.
4. “Putting All Together” to reinforce clinical reasoning and introduction to early differential diagnosis.
Practical skills
1. Accurately perform a peak flow measurement.
2. Demonstrate the correct use of an inhaler (with and without a spacer/aero chamber) to a patient.
3. Identify the key features of a plain chest radiograph and recognise common respiratory abnormalities.
Sample OSCE for respiratory
Chest X-RAY study resources
Sample cases for practice:
1. Mr. Y, is an 88-year-old gentleman who complains of progressive worsening of breathlessness since 2 weeks ago. He also complains of a pain at the right side of his chest. He used to work at the docks in the UK in his teens.
a) Does the patient require urgent intervention?
b) Is the shortness of breath acute or chronic?
c) What additional questions would you ask to learn more about his shortness of breath?
d) What is the organ system involved in the patient's shortness of breath (cardiac, pulmonary, hematologic, or psychiatric)?
a) What additional questions would you ask to learn more about his hemoptysis?
b) How would you classify his hemoptysis in terms of quantity?
c) Can you make a definite diagnosis through an open-ended history followed by focused questions?
d) What are the alarm features when evaluating a patient with hemoptysis?
